Hemochromatosis type 1
diseaseOn this page
Also known as C282Y/C282Y hemochromatosisclassic hemochromatosishemochromatosishemochromatosis, type 1HFE-associated hereditary hemochromatosisHFE-related hemochromatosisHFE1symptomatic form of hemochromatosis type 1
Summary
Hemochromatosis type 1 (MONDO:0021001) is a disease caused by HFE (GenCC Definitive), with 7 cohort genes (2 GWAS associations across 1 studies) and 24 clinical trials. The dominant Reactome pathway is Transferrin endocytosis and recycling (3 cohort genes). Top therapeutic interventions include deferoxamine, deferiprone, and deferasirox.
At a glance
- Causal gene: HFE (GenCC Definitive)
- Cohort genes: 7
- GWAS associations: 2
- ClinVar variants: 83
- Clinical trials: 24
Clinical features
No curated clinical features (Orphanet) for this disease.
Identifiers
Disease identifiers
| Field | Value |
|---|---|
| Canonical name | hemochromatosis type 1 |
| Mondo ID | MONDO:0021001 |
| EFO | EFO:0006513 |
| OMIM | 235200 |
| Orphanet | 139498 |
| DOID | DOID:0111029 |
| NCIT | C84764 |
| UMLS | C3469186 |
| MedGen | 854011 |
| Is cancer (heuristic) | no |
Also known as: C282Y/C282Y hemochromatosis · classic hemochromatosis · hemochromatosis · hemochromatosis type 1 · hemochromatosis, type 1 · HFE-associated hereditary hemochromatosis · HFE-related hemochromatosis · HFE1 · symptomatic form of hemochromatosis type 1
Data availability: 83 ClinVar variants · 2 GWAS associations (1 study) · 6 GenCC gene-disease records · 25 cell lines.
Disease family
Classification path: disease › human disease › disease by developmental or physiological process › metabolic disease › mineral metabolism disease › iron metabolism disease › hemosiderosis › hereditary hemochromatosis › hemochromatosis type 1
Related subtypes (7): neonatal hemochromatosis, African iron overload, hemochromatosis type 3, hemochromatosis type 4, hemochromatosis type 5, hemochromatosis type 2, digenic hemochromatosis
Genetics & variants
GWAS landscape
2 GWAS associations across 1 studies. Top hits map to 1 distinct genes (as reported by GWAS).
Top associations by p-value
| rsID | p-value | Gene | Risk allele | Odds ratio |
|---|---|---|---|---|
| rs3811647 | 2e-20 | TF | ? | 0.4 |
Top studies (by case count)
| Study | Lead author | Year | Cases | Controls | Title |
|---|---|---|---|---|---|
| GCST002660 | de Tayrac M | 2014 | 474 | 0 | Genome-wide association study identifies TF as a significant modifier gene of iron metabolism in HFE hemochromatosis. |
Variant details and genetic-evidence tiers
Tier distribution (top 50 variants)
| Tier | Variants |
|---|---|
| Tier 1: coding | 0 |
| Tier 2: splice/UTR | 0 |
| Tier 3: regulatory | 0 |
| Tier 4: intronic/intergenic | 1 |
MAF distribution
| Bucket | Variants |
|---|---|
| common (>=0.05) | 1 |
| low_freq (0.01-0.05) | 0 |
| rare (<0.01) | 0 |
| unknown | 0 |
Functional consequences
| Consequence | Count |
|---|---|
| intron_variant | 1 |
Top variants
| rsID | Chr | Pos | Alleles | MAF | Consequence | Gene | p-value | Tier |
|---|---|---|---|---|---|---|---|---|
| rs3811647 | 3 | 133765185 | G>A,C | 0.05 | intron_variant | TF | 2e-20 | Tier 4: intronic/intergenic |
ClinVar germline variants
83 retrieved; paginated sample, class counts are floors:
45 uncertain significance, 10 conflicting classifications of pathogenicity, 8 pathogenic/likely pathogenic, 6 pathogenic, 6 likely pathogenic, 3 benign/likely benign, 2 benign, 1 conflicting classifications of pathogenicity; other, 1 not provided, 1 conflicting classifications of pathogenicity; other; risk factor
| ClinVar | Variant (HGVS) | Gene | Classification | Review |
|---|---|---|---|---|
| 1065637 | NM_000410.4(HFE):c.1006+1G>A | HFE | Pathogenic/Likely pathogenic | criteria provided, multiple submitters, no conflicts |
| 1071037 | NM_000410.4(HFE):c.1022_1034del (p.His341fs) | HFE | Pathogenic | criteria provided, multiple submitters, no conflicts |
| 1073981 | NM_000410.4(HFE):c.211C>T (p.Arg71Ter) | HFE | Pathogenic/Likely pathogenic | criteria provided, multiple submitters, no conflicts |
| 18 | NM_000410.4(HFE):c.989G>T (p.Arg330Met) | HFE | Pathogenic | no assertion criteria provided |
| 19 | NM_000410.4(HFE):c.848A>C (p.Gln283Pro) | HFE | Pathogenic/Likely pathogenic | criteria provided, multiple submitters, no conflicts |
| 2152189 | NM_000410.4(HFE):c.548T>C (p.Leu183Pro) | HFE | Pathogenic/Likely pathogenic | criteria provided, multiple submitters, no conflicts |
| 3075867 | NM_000410.4(HFE):c.616+1G>A | HFE | Pathogenic/Likely pathogenic | criteria provided, multiple submitters, no conflicts |
| 3384778 | NM_000410.4(HFE):c.166C>T (p.Gln56Ter) | HFE | Pathogenic | criteria provided, single submitter |
| 407073 | NM_000410.4(HFE):c.892G>T (p.Glu298Ter) | HFE | Pathogenic/Likely pathogenic | criteria provided, multiple submitters, no conflicts |
| 407079 | NM_000410.4(HFE):c.546_547del (p.Leu183fs) | HFE | Pathogenic/Likely pathogenic | criteria provided, multiple submitters, no conflicts |
| 88946 | NM_000410.4(HFE):c.502G>T (p.Glu168Ter) | HFE | Pathogenic | criteria provided, single submitter |
| 2365 | NM_213653.4(HJV):c.959G>T (p.Gly320Val) | HJV | Pathogenic | criteria provided, multiple submitters, no conflicts |
| 2371 | NM_213653.4(HJV):c.963C>A (p.Cys321Ter) | HJV | Pathogenic | no assertion criteria provided |
| 802342 | NM_003227.4(TFR2):c.2101C>T (p.Arg701Ter) | LOC113687175 | Pathogenic/Likely pathogenic | criteria provided, multiple submitters, no conflicts |
| 1185560 | NM_000410.4(HFE):c.262A>T (p.Ser88Cys) | HFE | Likely pathogenic | no assertion criteria provided |
| 1217279 | NM_000410.4(HFE):c.688TAC[1] (p.Tyr231del) | HFE | Likely pathogenic | criteria provided, single submitter |
| 2575054 | NM_000410.4(HFE):c.340+1G>A | HFE | Likely pathogenic | no assertion criteria provided |
| 3593440 | NM_000410.4(HFE):c.106_109del (p.Gly36fs) | HFE | Likely pathogenic | criteria provided, single submitter |
| 3593441 | NM_000410.4(HFE):c.340+1G>T | HFE | Likely pathogenic | criteria provided, single submitter |
| 633265 | NM_000410.4(HFE):c.77-2_78delinsTGGAGTC | HFE | Likely pathogenic | criteria provided, single submitter |
| 10 | NM_000410.4(HFE):c.187C>G (p.His63Asp) | HFE | Conflicting classifications of pathogenicity; other | criteria provided, conflicting classifications |
| 11 | NM_000410.4(HFE):c.193A>T (p.Ser65Cys) | HFE | Conflicting classifications of pathogenicity | criteria provided, conflicting classifications |
| 237780 | NM_000410.4(HFE):c.1026C>T (p.Tyr342=) | HFE | Conflicting classifications of pathogenicity | criteria provided, conflicting classifications |
| 356194 | NM_000410.4(HFE):c.68G>A (p.Arg23His) | HFE | Conflicting classifications of pathogenicity | criteria provided, conflicting classifications |
| 356196 | NM_000410.4(HFE):c.829G>A (p.Glu277Lys) | HFE | Conflicting classifications of pathogenicity | criteria provided, conflicting classifications |
| 356208 | NM_000410.4(HFE):c.*988G>A | HFE | Conflicting classifications of pathogenicity | criteria provided, conflicting classifications |
| 356209 | NM_000410.4(HFE):c.*991C>T | HFE | Conflicting classifications of pathogenicity | criteria provided, conflicting classifications |
| 414267 | NM_000410.4(HFE):c.21G>A (p.Pro7=) | HFE | Conflicting classifications of pathogenicity | criteria provided, conflicting classifications |
| 461195 | NM_000410.4(HFE):c.884T>C (p.Val295Ala) | HFE | Conflicting classifications of pathogenicity | criteria provided, conflicting classifications |
| 9 | NM_000410.4(HFE):c.845G>A (p.Cys282Tyr) | HFE | Conflicting classifications of pathogenicity; other; risk factor | criteria provided, conflicting classifications |
Genes & proteins
Mendelian disease overlap and somatic drivers
GenCC: 7 · Orphanet: 14 · OMIM-shared: 0 · Dual-evidence (GWAS+Mendelian): 0
GenCC gene–disease validity (cohort genes)
the Disease column is the GenCC-asserted condition — a cohort gene’s strongest validity may be for a related predisposition syndrome.
| Gene | Classification | Inheritance | Disease | Records |
|---|---|---|---|---|
| HFE | Definitive | Autosomal recessive | hemochromatosis type 1 | 7 |
Orphanet rare-disease linkage (cohort genes)
| Gene | Orphanet ID | Rare disease |
|---|---|---|
| HFE | Orphanet:443057 | Sporadic porphyria cutanea tarda |
| HFE | Orphanet:443062 | Familial porphyria cutanea tarda |
| HFE | Orphanet:465508 | Symptomatic form of HFE-related hemochromatosis |
| HFE | Orphanet:586 | Cystic fibrosis |
| HFE | Orphanet:648581 | Digenic hemochromatosis |
| SLC40A1 | Orphanet:647834 | SLC40A1-related hemochromatosis |
| SLC40A1 | Orphanet:648562 | Ferroportin disease |
| TF | Orphanet:1195 | Congenital atransferrinemia |
| TFR2 | Orphanet:225123 | TFR2-related hemochromatosis |
| TFR2 | Orphanet:648581 | Digenic hemochromatosis |
| HAMP | Orphanet:648581 | Digenic hemochromatosis |
| HAMP | Orphanet:79230 | HJV or HAMP-related hemochromatosis |
| HJV | Orphanet:648581 | Digenic hemochromatosis |
| HJV | Orphanet:79230 | HJV or HAMP-related hemochromatosis |
Cohort genes → proteins
7 cohort genes, 6 distinct canonical proteins.
Evidence partition
| Subset | Genes |
|---|---|
| gwas_only | 1 |
| multi_evidence | 6 |
Cohort genes (full)
| Symbol | HGNC | Ensembl | UniProt | Name | Evidence |
|---|---|---|---|---|---|
| HFE | HGNC:4886 | ENSG00000010704 | Q30201 | Hereditary hemochromatosis protein | gencc,clinvar |
| SLC40A1 | HGNC:10909 | ENSG00000138449 | Q9NP59 | Ferroportin | clinvar |
| TF | HGNC:11740 | ENSG00000091513 | P02787 | Serotransferrin | gwas |
| TFR2 | HGNC:11762 | ENSG00000106327 | Q9UP52 | Transferrin receptor protein 2 | clinvar |
| HAMP | HGNC:15598 | ENSG00000105697 | P81172 | Hepcidin | clinvar |
| HJV | HGNC:4887 | ENSG00000168509 | Q6ZVN8 | Hemojuvelin | clinvar |
| HFE-AS1 | HGNC:55168 | HFE antisense RNA 1 | clinvar |
Cohort function summary
Lead sentence per gene, UniProt-curated.
| Symbol | Protein name | Function (lead sentence) |
|---|---|---|
| HFE | Hereditary hemochromatosis protein | Binds to transferrin receptor (TFR) and reduces its affinity for iron-loaded transferrin. |
| SLC40A1 | Ferroportin | Transports Fe(2+) from the inside of a cell to the outside of the cell, playing a key role for maintaining systemic iron homeostasis. |
| TF | Serotransferrin | Transferrins are iron binding transport proteins which can bind two Fe(3+) ions in association with the binding of an anion, usually bicarbonate. |
| TFR2 | Transferrin receptor protein 2 | Mediates cellular uptake of transferrin-bound iron in a non-iron dependent manner. |
| HAMP | Hepcidin | Liver-produced hormone that constitutes the main circulating regulator of iron absorption and distribution across tissues. |
| HJV | Hemojuvelin | Acts as a bone morphogenetic protein (BMP) coreceptor. |
Protein-family classification
Druggable: 3 · Difficult: 0 · Unknown: 4 · Druggable fraction: 0.43
Family distribution
Cohort families vs a genome-wide background (hypergeometric, BH-FDR; fold = observed/expected). Counts kept; sorted by enrichment, so the catch-all Other/Unknown bucket no longer leads.
| Family | Genes | Fold | FDR |
|---|---|---|---|
| Transporter | 1 | 11.1× | 0.289 |
| Protease | 1 | 5.2× | 0.289 |
| Antibody/Immunoglobulin | 1 | 4.2× | 0.289 |
| Other/Unknown | 4 | 1.0× | 0.626 |
Per-gene assignment
| Symbol | Family | Druggable? | EC | InterPro (top 3) |
|---|---|---|---|---|
| HFE | Antibody/Immunoglobulin | yes | MHC_I_a_a1/a2, Ig/MHC_CS, Ig_C1-set | |
| SLC40A1 | Transporter | yes | Ferroportin-1, MFS_trans_sf | |
| TF | Other/Unknown | no | Transferrin-like_dom, Transferrin, Transferrin_Fe_BS | |
| TFR2 | Protease | yes | PA_domain, Peptidase_M28, TFR-like_dimer_dom_sf | |
| HAMP | Other/Unknown | no | Hepcidin | |
| HJV | Other/Unknown | no | RGM_C, RGM_N, RGM | |
| HFE-AS1 | Other/Unknown | no |
Expression context
Cohort genes with no expression data: 1.
6 cohort genes are a single-cell marker in ≥1 SCXA experiment.
Breadth distribution (Bgee present_calls)
| Bucket | Genes |
|---|---|
| narrow (1-5 tissues) | 0 |
| moderate (6-20) | 0 |
| broad (>20) | 6 |
| unknown | 1 |
Top tissues across cohort
| Tissue | Cohort genes |
|---|---|
| right lobe of liver | 2 |
| olfactory bulb | 1 |
| stromal cell of endometrium | 1 |
| type B pancreatic cell | 1 |
| epithelial cell of pancreas | 1 |
| oviduct epithelium | 1 |
| pancreatic ductal cell | 1 |
| corpus callosum | 1 |
| inferior vagus X ganglion | 1 |
| medulla oblongata | 1 |
| liver | 1 |
| vena cava | 1 |
| cardiac atrium | 1 |
| right atrium auricular region | 1 |
| gastrocnemius | 1 |
| hindlimb stylopod muscle | 1 |
| skeletal muscle tissue of rectus abdominis | 1 |
Per-gene tissue summary (top 30)
| Symbol | Bgee breadth | FANTOM5 breadth | SCXA | Top tissues |
|---|---|---|---|---|
| HFE | 238 | ubiquitous | marker | type B pancreatic cell, olfactory bulb, stromal cell of endometrium |
| SLC40A1 | 260 | ubiquitous | marker | pancreatic ductal cell, epithelial cell of pancreas, oviduct epithelium |
| TF | 249 | broad | marker | inferior vagus X ganglion, medulla oblongata, corpus callosum |
| TFR2 | 188 | tissue_specific | marker | right lobe of liver, liver, vena cava |
| HAMP | 223 | broad | marker | right lobe of liver, right atrium auricular region, cardiac atrium |
| HJV | 147 | tissue_specific | marker | hindlimb stylopod muscle, skeletal muscle tissue of rectus abdominis, gastrocnemius |
| HFE-AS1 |
Protein interactions among cohort
Intra-cohort edges: 11.
Hub genes (top 10 by interactor count)
| Symbol | Interactor count |
|---|---|
| TF | 2,217 |
| HAMP | 1,580 |
| HFE | 1,569 |
| SLC40A1 | 1,387 |
| TFR2 | 1,077 |
| HJV | 780 |
| HFE-AS1 | 0 |
Intra-cohort edges
| A | B | Sources |
|---|---|---|
| HAMP | HFE | string_interaction |
| HAMP | HJV | string_interaction |
| HAMP | SLC40A1 | string_interaction |
| HAMP | TFR2 | string_interaction |
| HFE | HJV | string_interaction |
| HFE | SLC40A1 | string_interaction |
| HFE | TFR2 | string_interaction |
| HJV | SLC40A1 | string_interaction |
| HJV | TFR2 | string_interaction |
| SLC40A1 | TFR2 | string_interaction |
| TF | TFR2 | biogrid_interaction |
Structural data
PDB: 5 · AlphaFold-only: 1 · No structure: 1
Cohort genes with PDB structures (top 30)
| Symbol | UniProt | PDB entries |
|---|---|---|
| TF | P02787 | 66 |
| SLC40A1 | Q9NP59 | 8 |
| HAMP | P81172 | 6 |
| HFE | Q30201 | 2 |
| HJV | Q6ZVN8 | 2 |
AlphaFold-only cohort genes (top 30 by pLDDT)
| Symbol | UniProt | pLDDT |
|---|---|---|
| TFR2 | Q9UP52 | 83.98 |
Function
Pathway analysis
Distinct Reactome pathways touched by cohort: 18. Enrichment computed across 7 evidence-associated genes (5 with Reactome annotation).
Pathways by enrichment
Over-representation of cohort genes vs the genome-wide background (hypergeometric test, Benjamini-Hochberg FDR; fold = observed/expected over 5 annotated cohort genes). Counts and members are kept as ground-truth; sorted by enrichment.
| Pathway | Cohort genes | Fold | FDR | Sample cohort genes |
|---|---|---|---|---|
| Transferrin endocytosis and recycling | 3 | 221.0× | 2e-06 | HFE, TF, TFR2 |
| Iron uptake and transport | 3 | 207.6× | 2e-06 | SLC40A1, TF, TFR2 |
| Defective SLC40A1 causes hemochromatosis 4 (HFE4) (macrophages) | 1 | 1142.0× | 0.003 | SLC40A1 |
| Defective CP causes aceruloplasminemia (ACERULOP) | 1 | 1142.0× | 0.003 | SLC40A1 |
| Defective SLC40A1 causes hemochromatosis 4 (HFE4) (duodenum) | 1 | 1142.0× | 0.003 | SLC40A1 |
| Metal ion SLC transporters | 1 | 120.2× | 0.025 | SLC40A1 |
| Netrin-1 signaling | 1 | 87.8× | 0.029 | HJV |
| Transport of small molecules | 2 | 10.1× | 0.033 | SLC40A1, TFR2 |
| SLC transporter disorders | 1 | 40.8× | 0.049 | SLC40A1 |
| R-HSA-425366 | 1 | 36.2× | 0.049 | SLC40A1 |
| Disorders of transmembrane transporters | 1 | 27.9× | 0.058 | SLC40A1 |
| Cargo recognition for clathrin-mediated endocytosis | 1 | 20.9× | 0.064 | TF |
| Post-translational protein phosphorylation | 1 | 20.0× | 0.064 | TF |
| Platelet degranulation | 1 | 17.6× | 0.064 | TF |
| Regulation of Insulin-like Growth Factor (IGF) transport and uptake by Insulin-like Growth Factor Binding Proteins (IGFBPs) | 1 | 17.3× | 0.064 | TF |
| Clathrin-mediated endocytosis | 1 | 17.0× | 0.064 | TF |
| SLC-mediated transmembrane transport | 1 | 11.8× | 0.087 | SLC40A1 |
| Disease | 1 | 2.6× | 0.328 | SLC40A1 |
GO biological processes by enrichment
Over-representation of cohort genes vs the genome-wide background (hypergeometric test, Benjamini-Hochberg FDR; fold = observed/expected over 6 annotated cohort genes). Counts and members are kept as ground-truth; sorted by enrichment.
| GO term | Cohort genes | Fold | FDR | Sample cohort genes |
|---|---|---|---|---|
| multicellular organismal-level iron ion homeostasis | 6 | 581.1× | 8e-16 | HFE, SLC40A1, TF, TFR2, HAMP, HJV |
| intracellular iron ion homeostasis | 6 | 244.2× | 1e-13 | HFE, SLC40A1, TF, TFR2, HAMP, HJV |
| cellular response to iron ion | 3 | 1203.7× | 2e-08 | HFE, TF, TFR2 |
| response to iron ion | 3 | 468.1× | 3e-07 | HFE, TFR2, HAMP |
| transferrin transport | 2 | 510.7× | 5e-05 | HFE, TFR2 |
| positive regulation of peptide hormone secretion | 2 | 510.7× | 5e-05 | HFE, TFR2 |
| iron ion transport | 2 | 295.6× | 1e-04 | TF, TFR2 |
| positive regulation of receptor-mediated endocytosis | 2 | 267.5× | 1e-04 | HFE, TF |
| negative regulation of iron ion transmembrane transport | 1 | 2808.7× | 0.001 | HAMP |
| spleen trabecula formation | 1 | 2808.7× | 0.001 | SLC40A1 |
| endocytic iron import into cell | 1 | 2808.7× | 0.001 | TFR2 |
| positive regulation of protein maturation | 1 | 2808.7× | 0.001 | TFR2 |
| iron ion export across plasma membrane | 1 | 2808.7× | 0.001 | SLC40A1 |
| negative regulation of iron export across plasma membrane | 1 | 2808.7× | 0.001 | HAMP |
| negative regulation of antigen processing and presentation of endogenous peptide antigen via MHC class I | 1 | 2808.7× | 0.001 | HFE |
| negative regulation of intestinal absorption | 1 | 2808.7× | 0.001 | HAMP |
| receptor-mediated endocytosis | 2 | 73.9× | 0.001 | HFE, TFR2 |
| positive regulation of proteasomal ubiquitin-dependent protein catabolic process | 2 | 70.2× | 0.001 | TF, HAMP |
| BMP signaling pathway | 2 | 66.9× | 0.001 | HFE, HJV |
| regulation of iron ion transport | 1 | 1404.3× | 0.002 | HFE |
| response to iron ion starvation | 1 | 936.2× | 0.003 | HFE |
| negative regulation of CD8-positive, alpha-beta T cell activation | 1 | 702.2× | 0.003 | HFE |
| negative regulation of T cell cytokine production | 1 | 401.2× | 0.006 | HFE |
| iron ion transmembrane transport | 1 | 401.2× | 0.006 | SLC40A1 |
| transcription by RNA polymerase II | 2 | 23.5× | 0.006 | SLC40A1, HJV |
| lymphocyte homeostasis | 1 | 312.1× | 0.007 | SLC40A1 |
| regulation of protein localization to cell surface | 1 | 280.9× | 0.007 | HFE |
| cell surface receptor signaling pathway | 2 | 21.4× | 0.007 | HFE, TF |
| urate metabolic process | 1 | 255.3× | 0.007 | HFE |
| hormone biosynthetic process | 1 | 234.1× | 0.008 | HFE |
Therapeutics
Drug target analysis
Approved (phase 4): 0 · Phase ≥3: 0 · Phased (≥1): 1 · Undrugged: 6
Druggability breadth: 4 of 7 evidence-associated genes (57%) have a ChEMBL target (buckets above are over the deeply-mined display cohort).
Top cohort targets by molecule count
| Symbol | Molecules | Max phase |
|---|---|---|
| SLC40A1 | 1 | 1 |
| HFE | 0 | 0 |
| TF | 0 | 0 |
| TFR2 | 0 | 0 |
| HAMP | 0 | 0 |
| HJV | 0 | 0 |
| HFE-AS1 | 0 | 0 |
Drugs targeting cohort genes (top 30)
| Molecule | Max phase | Targets in cohort |
|---|---|---|
| VAMIFEPORT HYDROCHLORIDE | 1 | SLC40A1 |
Bioactivity and enzyme data
Enzyme cohort genes (≥1 EC): 0.
Cohort genes with ChEMBL bioactivity (full, sorted by assay count)
| Symbol | Assays | Type breakdown |
|---|---|---|
| TF | 22 | Binding:13, Functional:9 |
| SLC40A1 | 14 | Binding:14 |
| HAMP | 9 | Binding:9 |
Pharmacogenomics
Cohort genes with a PharmGKB record: 6; with CPIC/DPWG dosing guidelines: 0.
No cohort gene has a CPIC/DPWG genotype-guided dosing guideline (PharmGKB).
Chemical tractability of cohort targets
1 approved/phased compounds have measured bioactivity against a cohort gene (and aren’t yet in disease-level trials). This is a research / tractability signal, NOT a therapeutic recommendation — a bioactivity row often reflects off-target or screening binding (e.g. promiscuous kinase inhibitors against a cohort kinase), implying no disease mechanism.
| Compound | Max phase | Cohort target (bioactivity) |
|---|---|---|
| VAMIFEPORT HYDROCHLORIDE | 1 | SLC40A1 |
Druggability pyramid
Cohort genes binned by druggability tier (high → low):
| Tier | Definition | Genes | Symbols |
|---|---|---|---|
| A | Approved (phase 4 drug) | 0 | |
| B | Phased (≥1) drug, not yet approved | 1 | SLC40A1 |
| C | Druggable family + PDB, no drug | 1 | HFE |
| D | Druggable family + AlphaFold only, no drug | 1 | TFR2 |
| E | Difficult family or no structure, no drug | 4 | TF, HAMP, HJV, HFE-AS1 |
Undrugged target profiles
6 cohort genes are undrugged. Ranked by ‘starting-point quality’ (assay depth + drugged-partner adjacency).
| Symbol | ChEMBL assays | Drugged partners (top 3) |
|---|---|---|
| TFR2 | 0 | SLC40A1 |
| HAMP | 9 | SLC40A1 |
| HFE | 0 | — |
| TF | 22 | — |
| HJV | 0 | — |
| HFE-AS1 | 0 | — |
Clinical trials & evidence
Clinical trials
Clinical trials: 24.
Phase distribution (across all retrieved trials)
| Phase | Trials |
|---|---|
| Not specified | 16 |
| PHASE2 | 4 |
| PHASE3 | 3 |
| PHASE1 | 1 |
Top trials by phase / activity
| NCT | Phase | Status | Title |
|---|---|---|---|
| NCT00122980 | PHASE3 | TERMINATED | Stroke With Transfusions Changing to Hydroxyurea |
| NCT00202436 | PHASE3 | COMPLETED | Haemochromatosis:Phlebotomy Versus Erythrocytapheresis Therapy |
| NCT00350662 | PHASE3 | COMPLETED | Study With Deferiprone and/or Desferrioxamine in Iron Overloaded Patients |
| NCT00007150 | PHASE2 | ACTIVE_NOT_RECRUITING | Treatment of Hemochromatosis |
| NCT00000595 | PHASE2 | COMPLETED | Evaluation of Subcutaneous Desferrioxamine as Treatment for Transfusional Hemochromatosis |
| NCT00349453 | PHASE2 | COMPLETED | Study Using Deferiprone Alone or in Combination With Desferrioxamine in Iron Overloaded Transfusion-dependent Patients |
| NCT01892644 | PHASE2 | WITHDRAWN | Treatment of Iron Overload With Deferasirox (Exjade) in Hereditary Hemochromatosis and Myelodysplastic Syndrome |
| NCT00712738 | PHASE1 | COMPLETED | Oral Nifedipine to Treat Iron Overload |
| NCT00001203 | Not specified | COMPLETED | Deferoxamine for the Treatment of Hemochromatosis |
| NCT00001455 | Not specified | COMPLETED | Iron Overload in African Americans |
| NCT00005541 | Not specified | COMPLETED | Hemochromatosis and Iron Overload Screening Study (HEIRS) |
| NCT00005559 | Not specified | COMPLETED | Statistical Basis for Hemochromatosis Screening |
| NCT00006312 | Not specified | COMPLETED | Hemochromatosis–Genetic Prevalence and Penetrance |
| NCT00199628 | Not specified | COMPLETED | Research Network for Neonatal Diseases Induced by Tissular Fetomaternal Alloimmunization |
| NCT00509652 | Not specified | UNKNOWN | Erythrocyte Apheresis Versus Phlebotomy in Hemochromatosis |
| NCT00587535 | Not specified | COMPLETED | Evaluation of a New MR Pulse Sequence to Quantify Liver Iron Concentration |
| NCT01524757 | Not specified | UNKNOWN | Proton Pump Inhibitors in the Prevention of Iron Reaccumulation in Patient With Hereditary Hemochromatosis |
| NCT01810965 | Not specified | COMPLETED | Impact of Bloodletting on Iron Metabolism in Type 1 Hemochromatosis |
| NCT02025543 | Not specified | COMPLETED | Confounder-Corrected Quantitative MRI Biomarker of Hepatic Iron Content |
| NCT02099214 | Not specified | COMPLETED | Estimation of Myocardial Iron Overload by 3 Tesla MRI in HFE Hereditary Haemochromatosis |
| NCT03654794 | Not specified | COMPLETED | Study of the Cellular Diffusion of Tacrolimus Across the Membrane of Mononuclear Cells |
| NCT03743272 | Not specified | COMPLETED | Repeatability and Reproducibility of Multiparametric MRI |
| NCT04631718 | Not specified | COMPLETED | MRI QSM Imaging for Iron Overload |
| NCT06137079 | Not specified | UNKNOWN | Iron Overload and Endocrinological Diseases |
Drugs tested across these trials (top 30)
| Molecule | Max phase | Trials referencing |
|---|---|---|
| DEFEROXAMINE | 4 | 3 |
| DEFERIPRONE | 4 | 2 |
| DEFERASIROX | 4 | 1 |
| HYDROXYUREA | 4 | 1 |
| NIFEDIPINE | 4 | 1 |
| CHEMBL4635234 | 0 | 1 |
Related Atlas pages
- Cohort genes: HFE, SLC40A1, TF, TFR2, HAMP, HJV, HFE-AS1
- Drugs: Deferoxamine, Deferiprone, Deferasirox, Hydroxyurea, Nifedipine